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Several lines of evidence demonstrate that calcitriol exerts immunomodulatory and anti-proliferative effects and these effects have been hypothesized to demonstrate a role for calcitriol as a potential preventative or therapeutic in chronic auto-immune conditions such as type 1 diabetes

Nausea management is the main practical challenge

Beyond gastrointestinal effects, clinical data and class-level evidence from licensed incretin agents (semaglutide, tirzepatide) have flagged concerns regarding: Heart rate elevation: Increases in resting heart rate are a recognised class effect of GLP-1 receptor agonists, documented in the SmPCs for semaglutide (Wegovy) and tirzepatide (Mounjaro)

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Timing of Lab Draws IGF-1 stabilizes within 2 weeks of a new steady-state dose

Hormonal fluctuations create temporary plateaus